Individual
DR. TAWFIQ IFTEKHAR KHANSUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-4471
(601) 364-1588
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-4471
(601) 364-1588
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
08894
MS
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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